Organization
679 STANLEY AVENUE DRUGS INC
Active
Other names
Marben Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHUNGMAN LEE (PRESIDENT)
(718) 649-0200
Entity
Organization
Contact information
Practice address
679 STANLEY AVE, BROOKLYN, NY 11207-7905
(718) 649-0200
(718) 649-0876
Mailing address
679 STANLEY AVE, BROOKLYN, NY 11207-7905
(718) 649-0200
(718) 649-0876
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
029244
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2118758
PK
—
05
—
3056140
—
NY
Enumeration date
11/13/2008
Last updated
04/21/2015
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